Mira Raju Brahmbhatt, PA-C

NPI #1891348165 in West Caldwell, New Jersey

Provider Information

NPI Number: 1891348165
Entity Type: Individual
Name: Mira Raju Brahmbhatt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 16, 2019
Last Updated: Oct 1, 2024

Practice Location

Address: 1129 BLOOMFIELD AVE
City: West Caldwell
State: New Jersey
ZIP Code: 07006-7127
Phone: (973) 500-2686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Internal Medicine	207R00000X

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